According to a newspaper report, there exists a therapy that helps older women have better – and more frequent – orgasms. I’m not so sure about the way it is achieved, but, from what I could understand, it involves the patient’s own blood, from which high quality platelet rich plasma is derived. Such platelet rich plasma is used to treat many conditions such as vascular collapse, sepsis, and chronic liver disease.

It has also been used to treat orthopedic conditions such as arthritis and plantar fasciitis, and various tendon affections. It has been dubbed the ‘O’ shot. The Harley Street physician, who is selling it at £1,000 (Rs 90,000) a shot, claims to have treated over 2,000 females and claims he has achieved good results. He believes that as women age, they need help with their orgasms – a lot like how we all need glasses as we grow older, apparently. Several women have taken this treatment to have better climaxes. Others use it for a sexual arousal disorder.

The doctor claims that half the women experience immediate effects. Strangely, in a world bombarded by medical research from innovations in stem cell therapy and cloning, we still know little about the female orgasm. The female orgasm is a sudden discharge of accumulated tension during sexual response, resulting in rhythmic muscular contraction in the pelvic region, and characterized by an intense sensation of pleasure. The orgasm is followed by a release of endorphins (joy hormones), oxytocin and prolactin, and the period after orgasm is known as the refractory period, after which the woman is capable of being stimulated again.

Some studies suggest that climaxing during sex increases the chances of pregnancy. No study on the orgasm is complete without referring to Masters and Johnson’s pioneering work on the human orgasm. Female orgasms last about 20 seconds or so. The contractions may be different in different women, with a series of regular contractions at regular intervals. In some, regular contraction is followed by irregular contractions, and in a few, orgasms occur without contraction at all. The orgasms are often proceeded by clitoral errection and moistening of the vagina.

At the onset of an orgasm, the outer part of the vagina tightens and narrows, and the overall vagina lengthens and dilates. Several studies of the brain have been done using a PET scanner during states of rest, sexual stimulation, faked orgasms and actual orgasm. It has been observed that parts of the brain that control fear and anxiety shut down with sexual stimulation. Stimulation of the clitoris also shows similar results on the brain.

From the above, it may be reasonable to assume that sexual activity is an inherent part of health, and a study in the British Medical Journal on men between 45 to 59, with a 10-year follow up, tells us that men who have fewer orgasms are twice as likely to die of any cause. A study in 2001, which addressed the sexual aspects of cardiovascular health, also tells us those men having sex three or more times a week have a 50% reduction in the risk of heart attack or stroke. Ten percent of women have never had an orgasm and 40-50% have complained about sexual dysfunction, according to Rod Plotnik in the Introduction to Psychology. Strangely, according to the Kinsey Institute, women are more likely to be orgasmic when alone than with a partner.

No discussion on female orgasm is complete without alluding to the legendary G spot. The G spot, also called the Grafenberg spot, is reported to be ‘located’ 2 to 3 inches up the anterior wall of the vagina. Though many studies state that the existence of this has never been proven, some studies using ultrasound have seemingly found physiological evidence of this spot. So, claims about the ‘O’ shot experience are good at present, and is said to improve the blood supply to the vagina. Time alone will tell us how successful this is.

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